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ELECTRICAL PERMIT APPLICAT'ION <br />CITY OF EVERETT PERMIT SERVICES <br />3200 CEDAR STREET, EVERETT, WA 98201 <br />425-257-8810 - FAX 425-257-8857 — www.everettwa.org <br />APpLICATIONS ARE ACCEPTED FROM 8 AM TO 4 PM <br />��� �� .�avP�/'���1/�lav,Sti�S <br />PROJECT ADDRESS � <br />Owner <br />Electrical <br />Mail Address <br />.d,� lo/�P � � � �IS�; �v� <br />Mail Address <br />SGAi �hL. �3�i!�,BG%���U�� <br />Contractor Mall Address <br />��/���;�15�1/k <br />Slate License Number <br />Proposed Use of Build(ng <br />Description of Work lo Be Done: ���/k �� <br />NOTE: WIRING IN NON-DWELLINGS IS REQUIRED TO <br />BE IN RACEWAYS, MC OR AC CABLE. <br />CITY OF EVERE'IT LOCAL SALES TAX CODE IS 3105 <br />1 here6vi cerii/v that I have read and examined this applic� <br />City <br />�� <br />City <br />r� <br />City <br />• /Z <br />Stale2lp��l y��� <br />r <br />o�-3s -, <br />StateZp <br />Slate2lp <br />Phone <br />�one <br />Y�1�3-G��7 <br />r�`S�G�i �' <br />Contract Price of Work <br />Contact Person (Plen Review) <br />FEE � <br />�7S <br />Phone <br />s to be true and � l�Q �— l 4' <br />e�authon y to � <br />Ilon or the <br />